ArticlePublic health nutrition2021
Breast-feeding promotion in hospitals and prospective breast-feeding rates during the first year of life in two national surveys 1997-1998 and 2017-2019 in Germany.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Effect of care intervention with a health education form for breastfeeding on breast distension, pain, and lactation in postpartum mothers.World journal of clinical cases · 2024Trial
- Breastfeeding at discharge or transfer from the maternity hospital: results from the German Perinatal Statistics 2021.International breastfeeding journal · 2026Article
- Maternal recall of exclusive and any breastfeeding duration during the first 6 months- an examination of retrospective accuracy at 12 months within a large prospective breastfeeding survey in Germany.International breastfeeding journal · 2026Article
- Fathers' perspectives on the breastfeeding experience: a qualitative study.Frontiers in nutrition · 2026Article
- Article
- Breastfeeding Promotion in Maternity Wards From a Socioeconomic View.Food science & nutrition · 2025Article
- How can we support the individual breastfeeding experience? Quantitative results from a mixed-methods study.International breastfeeding journal · 2025Observational
- Breastfeeding rates in Israel and their health policy implications.Israel journal of health policy research · 2025Article
- Getting breastfeeding started under pandemic visiting restrictions: lessons learned in Germany.International breastfeeding journal · 2024Article
- Adherence to recommendations for nutrient supplementation related to pregnancy in Germany.Food science & nutrition · 2023Article
- The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration.Maternal & child nutrition · 2022Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe present study aimed to assess the current state of breast-feeding promotion in hospitals and the prevalence of breast-feeding during the first year of life in Germany and to compare the results with a study 20 years earlier.
designIn the studies on 'breast-feeding and infant nutrition in Germany' named 'SuSe', a cross-sectional survey in hospitals was combined with a subsequent prospective survey of breast-feeding and infant nutrition during the first year of life (0·5, 2, 4, 6 and 12 months after birth) in mother-infant pairs who were recruited in the hospitals. Written questionnaires and phone calls were used in SuSe I and web-based questionnaires in SuSe II. Breast-feeding promotion and prevalence were evaluated using recommendations from the WHO and the UNICEF.
settingTwo nationwide surveys SuSe I (1997-1998) and SuSe II (2017-2019).
participantsIn SuSe I, 177 hospitals and 1717 mother-infant pairs and in SuSe II 109 hospitals and 962 mother-infant pairs were included.
resultsIn SuSe II, hospitals implemented seven of the WHO 'Ten Steps to Successful Breastfeeding' to a greater extent than the hospitals in SuSe I. More mothers exclusively breastfed for 4 months (57 % v. 33 %) and continued breast-feeding until 6 (78 % v. 48 %) and 12 months (41 % v. 13 %). In both studies, exclusive breast-feeding decreased between 4 and 6 months of age due to the introduction of complementary feeding.
conclusionsIn Germany, breast-feeding habits have come closer to the recommendations over the last 20 years.
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